Ngesikhathi sokukhulelwa, izinhlobo ezahlukene zezinkinga zingenzeka, ezinye zibhekisela ku-amniotic fluid. Kulokhu sizobona Iyini i-hydramnios noma i-polyhydramnios?, njengoba kwaziwa futhi. Kuyisifo esibonakala ngokugcwala kwe-amniotic fluid emboze umntwana. Into eyenzeka ngokungavamile futhi ibhekwa njengenkinga yokukhulelwa.
I-amniotic fluid ibalulekile empilweni, kuyadingeka ukuthi ingane ikhule esibelethweni. Kodwa-ke, lapho i-amniotic fluid ikhiqizwa ngendlela engavamile ngokweqile noma ngokuphambene nalokho, ukushoda, ingaveza imiphumela emibi ekukhulelweni, kokubili kumama nakumntwana. Lapha sikutshela konke ngale nkinga ebizwa ngokuthi ama-hydramnios.
I-amniotic fluid kanye nendima yayo ekukhulelweni
I-Amniotic fluid iyinhlanganisela yezakhi ezihlukahlukene. Iqukethe amanzi amaningi anosawoti wamaminerali amaningi, futhi inamaprotheni ngisho namaseli e-fetus, phakathi kwabanye. Ngesikhathi sokukhulelwa, i-amniotic fluid idlala indima ebalulekile. Ngakolunye uhlangothi, yenza ungqimba oluvikelayo oluvimbela ingane ekuhluphekeni ngenxa yokushaqeka, umsindo, izifo futhi igcine isesimweni sokushisa esifanele ngaso sonke isikhathi.
Ngaphezu kwalokho, uketshezi lwe-amniotic lunikeza imisoco ehlukahlukene edingwa ingane ukuze ikhule futhi ikhule. Ingenelela ngisho nasekuthuthukisweni kwesimiso sokuphefumula somntwana lapho isesibelethweni. Ngesikhathi sokukhulelwa, uketshezi lwe-amniotic luyashintsha ngobuningi balo. Ekuqaleni, ngokuvamile kuze kube yinyanga yesihlanu, uketshezi luyanda, ukwazi ukufinyelela ilitha ngasesontweni lama-30 noma lama-31 lokukhulelwa.
Kusukela ngaleso sikhathi kuqhubeke, inani le-amniotic fluid lizokwehla lize lifinyelele cishe ku-700 ml ngesikhathi sokubeletha kufika. Lelo inani elijwayelekile okufanele likhiqizwe ngesikhathi sokukhulelwa kanye nokuhlola ukuthi konke kulungile, Amazinga e-amniotic fluid aqashwa ngokucophelela ekuhlolweni ngakunye.
Yini i-hydramnios
I-Hydramnios noma i-polyhydramnios, njengoba yaziwa futhi ngokwezokwelapha, kuqondwa njengokudlulela kwe-amniotic fluid ekhiqizwa ngendlela engavamile. Ukuze kutholakale lokhu kuphazamiseka, uketshezi kufanele ifinyelela cishe amalitha amabili, ngisho, kwezinye izimo idlula. Lokhu kwenzeka ngasekupheleni kokukhulelwa noma kusukela ku-trimester yesibili.
Nokho, kuyinkinga eyenzeka ezimweni ezimbalwa kakhulu. Eqinisweni, ukusabalala kuncane kangangokuthi ukukhulelwa kwe-hydramnios kuqoshwa kuphela ngaphansi kwe-1% yokukhulelwa. Ngokuvamile, imbangela iwukuthi umntwana akaluqedi uketshezi olwanele lwe-amniotic maqondana nalokho olukukhiqizayo. Le nkinga ihlobene ezimweni eziningi isifo sikashukela sokukhulelwa, enye inkinga yobukhulu obuhlukahlukene.
I-Hydramnios nayo ingenzeka ngenxa yokutheleleka okufana ne-toxoplasmosis. Ngisho kwezinye izimo imbangela isenkingeni yokumunca ingane. Kubangelwa ukonakala noma ukuphazamiseka ohlelweni lokugaya ukudla kwengane, isimiso sezinzwa, i-chromosomal noma isifo senhliziyo. Kunoma yikuphi, nakuba kungase kube yinto eyenza ukukhulelwa kube nzima, kuyinkimbinkimbi ngokusabalala okuphansi kakhulu.
Okusho ukuthi kwenzeka kuphela ezimweni ezingavamile kakhulu futhi kungatholakala kalula kuma-ultrasound scans. Ngakho kubaluleke kakhulu ukuya kukho konke ukubuyekezwa yokukhulelwa, ngoba ngale ndlela kuphela kungaqinisekiswa ukuthi ukuthuthukiswa kulungile futhi, uma kungenjalo, senze njengoba kudingekile ukugwema izinkinga ezimbi kakhulu. Ukwelashwa kungase kuhluke esimweni ngasinye, kucatshangelwa imbangela noma ubunzima.
Ezimweni eziningi, udokotela uvame ukutusa ukuphumula, ngisho kokunye ukubhoboza kungenziwa ukususa uketshezi lwe-amniotic nokunciphisa inani ukuze kuncishiswe umonakalo noma ukuhlolela ezinye izimbangela ezingase zibe khona. Nakekela ukukhulelwa kwakho futhi uye kukho konke ukuhlolwa ukuze uqinisekise ukuthi konke kuhamba ngohlelo.